ESTROTIMP: Impact of 18F-FES PET on the Therapeutic Treatment of Patients With Metastatic Breast Cancer
Study Details
Study Description
Brief Summary
This is a multi-center study in France to evaluate the impact of ESTROTEP PET/CT results on the therapeutic management of patients with metastatic breast cancer (MBC).
Each patient will be screened to determine whether the patient meets all the inclusion criteria and none of the exclusion criteria.
After inclusion, a standardized pre ESTROTEP PET/CT questionnaire will be completed by the investigators to evaluate the initial management plan. Patient will perform the ESTROTEP PET/CT examination at visit 2. A standardized post ESTROTEP PET/CT questionnaire will then be completed by the investigators.
Patients will be followed for 12 months to evaluate their clinical status and standard of care investigations.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Prospective population
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Drug: 18F Fluoroestradiol Radiopharmaceutical with PET/CT
Administration of one dose of 18F FES for PET/CT imaging
Other Names:
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Outcome Measures
Primary Outcome Measures
- To assess the impact of ESTROTEP PET/CT on metastatic breast cancer patients management, initially ER+ and HER2-, in relapse after first-line treatment combining hormone therapy. [Change from baseline therapeutic measure at 15 days after ESTROTEP PET/CT]
The percentage of patients for whom a substantial therapeutic measure was implemented following an analysis of the FES PET examination. This assessment will be performed prospectively by means of a standardised questionnaire completed by the prescribing clinician, when the request for an FES PET/CT is made. The therapeutic modality initially planned and the modality actually used may be determined by a multidisciplinary consultation meeting depending on the centre. This questionnaire will completed again within a maximum period of 15 days following the FES PET/CT in order to specify the final therapeutic measure. Substantial measures will be considered to be any major modifications made in terms of: therapeutic modalities, diagnostic modalities and follow-up modalities.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Woman aged at least 18 years old on inclusion
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Primary breast cancer expressing hormonal estrogen receptors in IHC (ER ≥ 10%)
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Primary breast tumor HER2 negative (0, 1+, 2+ FISH negative)
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Metastatic stage with at least one lesion identifiable on conventional work-up other than a hepatic lesion
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Patient in a situation of recurrence of the first line of treatment combining a CDK4 / 6 inhibitor and a hormone therapy
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Patient having performed a PET / CT with FDG during the follow-up of first metastatic line defining the relapse or performing a PET / CT with the baseline FDG defining the relapse during the extension assessment of 2nd line (according to the recommendations of the GBU of the examinations of 'medical imaging). A period of 2 to 28 days will be respected between the 2 PET / CT (FDG / FES).
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ECOG 0, 1 or 2
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Life expectancy of at least 12 months
Exclusion Criteria:
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Isolated hepatic metastases (taking into account the high physiological hepatic uptake of FES)
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Patients in the first metastatic line or beyond the second metastatic line
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Person with a known allergy to any of the components of EstroTep
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Patients who have been treated with a CDK4 / 6 inhibitor in combination with a first-line metastatic SERM or SERD
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Severe or known hepatic or renal failure
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Patient under a low salt diet or having an alcohol intake incompatible with EstroTep administration according to the investigator judgment
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Woman of childbearing potential without effective contraception according to the investigator judgement
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Serious intercurrent illness or co-morbidity assessed as risk
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CGFL | Dijon | France | 21000 |
Sponsors and Collaborators
- Zionexa
- GE Healthcare
- Simbec-Orion Group
- Keosys
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ZX-2021-FES-ESTROTIMP-4